Douglas Ashley Porter, M-PAC is a
Physician Assistant based in Woodlawn, Tennessee. Douglas Ashley Porter is licensed to practice in * (Not Available) (license number ) and his current practice location is
3110 Lylewood Rd, Woodlawn, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 542-6193.
NPI number for Douglas Ashley Porter is 1477863322 and his current mailing address is 3110 Lylewood Rd, Woodlawn, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477863322.
Provider's Profile
| Full Name | Douglas Ashley Porter |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3110 Lylewood Rd, Woodlawn, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477863322
- Provider Enumeration Date: 10/13/2010
- Last Update Date: 10/13/2010
Medical Identifiers
Medical identifiers for Douglas Ashley Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477863322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Ashley Porter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Douglas Ashley Porter, M-PAC
3110 Lylewood Rd,
Woodlawn, TN 37191-8232
Ph: (931) 542-6193 | Douglas Ashley Porter, M-PAC
3110 Lylewood Rd,
Woodlawn, TN 37191-8232
Ph: (931) 542-6193 |
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